慢性鼻-鼻窦炎内镜手术患者加速康复外科护理知信行现状调查

Investigation on knowledge,attitude and practice of enhanced recovery after surgery for patients with chronic rhinosinusitis undergoing endoscopic surgery

目的调查慢性鼻-鼻窦炎患者对鼻内镜手术加速康复外科(ERAS)护理的知识、态度及行为依从状况,并分析影响因素。方法选取2023年2月至2023年6月重庆市某三级甲等综合医院耳鼻咽喉头颈外科病房147例行内镜鼻窦手术治疗的慢性鼻-鼻窦炎患者作为研究对象,采用自制调查问卷调查患者一般情况与围手术期ERAS护理有关知识、态度及行为情况。结果共回收问卷156份,有效问卷147份,有效回收率为94.23%。147例患者中,鼻内镜手术ERAS护理知识得分率为46.36%、态度75.60%、行为71.25%,知信行总体得分率为62.11%,处于中等偏下水平。多因素分析结果显示,疾病病程和既往鼻部手术史是慢性鼻-鼻窦炎内镜手术患者ERAS护理知识水平的主要影响因素,性别、疾病病程是鼻内镜手术ERAS护理态度的主要影响因素,性别是鼻内镜手术ERAS护理依从性的主要影响因素。结论慢性鼻-鼻窦炎内镜手术患者对ERAS护理理念的认知及行为依从性较差,临床上应加强患者的宣传教育,提高手术疗效。

Objective To investigate the knowledge,attitude and practice compliance of patients with chronic rhinosinusitis on enhanced recovery after endoscopic sinus surgery(ERAS),and to analyze the influencing factors.Methods A total of 147 patients with chronic rhinosinusitis who underwent endoscopic sinus surgery in the otorhinolaryngology head and neck surgery ward of a tertiary general hospital in Chongqing from February 2023 to June 2023 were selected as the research objects.A self-made questionnaire was used to investigate the general situation of patients and the knowledge,attitude and practice of perioperative ERAS nursing.Results A total of 156 questionnaires were collected,of which 147 were valid,with an effective recovery rate of 94.23%.Among 147 patients,the nursing knowledge score rate of nasal endoscopic surgery accelerated rehabilitation surgery was 46.36%,attitude 75.60%,behavior 71.25%,and the overall score rate of knowledge,faith and practice was 62.11%,which was in the lower middle level.The results of multi-factor analysis showed that the disease course and previous nasal surgery history were the main influencing factors for the nursing knowledge level of patients with chronic rhino-sinusitis undergoing ERAS,gender and disease course were the main influencing factors for the nursing attitude of patients with endos copic ERAS,and gender was the main influencing factors for the nursing compliance of patients with endoscopic ERAS.Conclusion Patients undergoing endoscopic surgery for chronic rhino-sinusitis have poor cognition and behavioral compliance with the nursing concept of ERAS.Clinical publicity and education of patients should be strengthened to improve the surgical effect.